PSH Scholarship Participant Expectations & Application

Submit by March 21, 2018 for consideration.

FRAMEWORK FOR THE PSH LEARNING COLLABORATIVE 2020

The collaborative will feature two participation options, a Core Collaborative and an Advanced Cohort, each designed to meet the specific needs of organizations in different stages of their transformation journey. In addition, the Advanced Cohort members will have the ability to purchase the Bundles Payment Add-On Option which helps members assess their facility’s benefits and risks in participating in various bundle payment programs. The collaborative will begin on May 1, 2018 and run for two years.

Option 1: CORE COLLABORATIVE – KEY ACTIVITIES & MEMBER EXPECTATIONS

The Core Collaborative is designed for organizations that are in the early stages of transformation and therefore are primarily focused on learning, building capabilities and preparing for implementation.

Key activities and services available to Core Collaborative participants will include:

National meetings (semi-annual)

Educational webinars (monthly)

Member sharing webinars (monthly)

Collaborative updates via email (biweekly)

Access to a clinical protocol repository (ongoing)

Access to implementation best practices and tools (ongoing)

Access to payment model resources and templates (ongoing)

Access to an Advanced Collaborative-Only section of the Collaboration Community

Coaching to help develop publication strategy

In joining the Core Collaborative, participants will commit to:

Identifying an anesthesiologist champion and securing time for active participation

Identifying a surgeon champion and securing time for active participation

Identifying an administrative champion and securing time for active participation

Attending and actively participating in national meetings

Attending and actively participating in educational webinars

Attending and actively participating in member sharing/networking calls

Responding to requests for help and guidance from collaborative participants

Responding to requests for feedback and input from collaborative staff

Proactively sharing best business and clinical practices with collaborative participants and staff

Regularly reviewing resources available on the online PSH Community

Scholars are required to submit two scholar status reports to ASA (ASA will provide a report template)

Option 2: ADVANCED COHORT – KEY ACTIVITIES & MEMBER EXPECTATIONS

The Advanced Cohort is intended for organizations that are looking to optimize or expand their PSH pilot.

Key activities and services available to Advanced Cohort participants will include all those offered to the Core Collaborative (see above), as well as the following additional features:

- Focused performance optimization sprints and webinars (semi-annual) - Access to a separate section of the online collaboration community (ongoing) - Coaching to help develop members’ publication strategies - Coaching to help you prepare and monetize the PSH - Access to the economic impact of bundles participation analysis tool - Access to a dedicated staff member to provide support (up to 8 times per year)

In joining the Advanced Cohort, participants commit to (in addition to the activities listed above):

Identifying a time for calls with collaborative staff and participating in the calls as a team

Actively participating in Advanced Cohort calls and meetings

Providing input on topic selection for the performance improvement sprints

Actively participating in performance improvement sprints

Scholars are required to submit two scholar status reports to ASA (ASA will provide a report template)

Option 3: ADVANCED COHORT with BUNDLES PAYMENT ADD-ON OPTION

Advanced Cohort participants have the exclusive opportunity to supplement that membership with the Bundles Payment Add-on offering that supports institutions entering or already participating in a bundle. This program will ensure success by providing organizational support to those participating in a voluntary/involuntary bundle.

Bundles Payment Add-on: A NEW add-on offering that positions organizations for success and supports facilities as they participate in various private and public bundle programs. Participants can expect:

Support for evaluating which bundle(s) to enter; includes discussions regarding benefits, risk, program design and identification of opportunities across multiple episodes

Discover cost reduction opportunities compared to national top decile performance and collaborative benchmarks

Participant Application - Due Wednesday, March 21, 2018

Complete each section of the application as completely as possible, including any necessary explanations.

Membership level:

Core Advanced Advanced with Bundles Payment Add-On Option

Section 1: Overview (Required)

Organization

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Organization type:

Select all that apply to your organization:

Critical access Military hospital Non-profit hospitals in the 340B program Small or rural hospital Veterans Affairs hospital

If you are a group practice, please list your acute care hospital or ASC partner(s)

Primary service area and population

Number of beds

Total annual procedural volumes

Payor mix (please provide percentage for each):

Commercial

Civilian Health and Medical Program of the Uniformed Services (CHAMPVA)

Department of Veterans Affairs (VA)

Medicaid

Medicare

Other

Primary Collaborative Contact

Name

First Name Last Name

Title

Phone Number

-
Area Code Phone Number

Email

example@example.com

EHR Systems

Inpatient

Ambulatory

Anesthesia Information Management

Prior Experience

In thinking about your two to three best quality improvement (QI) initiatives,

QI initiative 1:

Describe the initiative(s)
*

0/100

Specify the methodology used
*

0/100

Describe any successes from your QI initiative(s)
*

0/100

QI initiative 2:

Describe the initiative(s)

0/100

Specify the methodology used

0/100

Describe any successes from your QI initiative(s)

0/100

QI initiative 3:

Describe the initiative(s)

0/100

Specify the methodology used

0/100

Describe any successes from your QI initiative(s)

0/100

How you would describe your resources and capability to data mine your EHR for quality improvement initiatives?

Basic Intermediate Advanced

Participation in other national or regional learning collaboratives

Yes No

If yes, please specify which one(s)

Are you currently participating in a bundled payment arrangement?

Yes No N/A

If yes, please describe the arrangement

Section 2: Organizational Capabilities

The following questions assess your institutions’ ability to create and implement a PSH pilot and/or expansion. Successful participation will also require support and resources drawn from beyond the immediate project team. Please indicate whether your organization has the following capabilities to support the initiative. If you answer no for any of the capabilities, please explain below.

Ability to collect and report data on monthly basis for performance improvement?

Yes No

If in one of CMS’ Comprehensive Care for Joint Replacement (CJR) markets, ability to collect data on a monthly basis for the quality metrics required – THA/TKA complication (NQF 1550) and HCAHPS survey (NQF 0116) measures, as well as THA/ TKA voluntary patient reported outcomes and limited risk variable data.

Change Management Skills

Specify what change management skills you employ or have employed within your organization

Is your organization responsive to these strategies?

What strategies are successful and why?

Section 3: Data Collection and Reporting Capabilities

If you are applying for the Advanced Cohort, please indicate whether your organization will be willing and able to share the following data for your PSH patients. If you answer no for any of the metrics, please explain below.

Clinical & Safety Outcomes

Explain how you would determine the following:

Outpatient Surgical Case Mortality

Discharge Disposition of Inpatient Surgical Cases

Unplanned Upgrade of Care for Inpatient Surgical Cases

Unplanned Upgrade of Care for Outpatient Surgical Cases

Non-mortality Complications for Adult Inpatient Surgical Cases

Non-mortality Complications for Pediatric Inpatient Surgical Cases

Inpatient Surgical Case Mortality

Internal Efficiency Outcomes

First Case Delayed on Day of Surgery (IP and OP)

Yes No

Day-of-Surgery Case Cancellations (IP and OP)

Yes No

Timeliness of Outpatient Surgical Case Discharge

Yes No

Average Length of Stay for Inpatient Surgical Cases

Yes No

Patient Centered Outcomes

Patient Experience at Discharge

Yes No

Patient Experience 30 days Post Discharge

Yes No

Financial Outcomes

Please provide the following information as it relates to your existing PSH pilot(s). If you have not yet implemented a PSH program and are applying for the Advanced Cohort, please describe your implementation plan and timeline.

PSH Pilot(s)

For which procedure(s) or service line(s) have you launched PSH pilot(s)?

How many PSH cases have you completed to date and during what timeframe?

Have you implemented a payment model to support your PSH pilot(s)?

Yes No

Section 5: Scholarship Operations Success

Funding Opportunities

Scholarships will be used to offset the organization’s membership cost of participating in the PSH Learning Collaborative 2020.

Please specify the yearly amount that your organization seeks:

Explain how your organization will offset the remaining participation costs?

PSH Plans

Specify how participating in the PSH Learning Collaborative would impact and benefit your organization?

Specify how participating in the PSH Learning Collaborative would impact and benefit your patients?

What are your specific goals for participating in the PSH Learning Collaborative?

How will you measure success?

Assume you are successful in achieving your goals for participating in the PSH Learning Collaborative. What are your next steps?

Champions and Key Team Members

Successful participation in this collaborative will require commitment from anesthesiology, surgical, administrative, and IT champions, as well as project management and support staff.